Why don't stroke patients get tpa (alteplase) therapy?

They can. If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra.
Patients wait. The most common reason is they wait too long before presenting to hospital. Current guidelines for t-pa in most hospitals have been extended from 3to 4.5->5 hours after the onset of symptoms of a stroke. Part of the problem is many patients wake up with weakness/speech difficulties, the time of onset can't be determined, the patient is ineligible.Recent major surgery or bleeding are exclusions.

Related Questions

Docs, could a patient be given tpa (alteplase) when on antiplatelet therapy?

Yes. TPA (alteplase) is not contraindicated with people taking aspirin, NSAIDs or antiplatelet drugs (dipyridamole, ticlopidine, clopidogrel). TPA (alteplase) is a contraindicated in people on warfarin whose INR is greater than 1.7. Use of low molecular weight heparin in the past 24 hours is also a contraindication. Read more...

What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends. This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. Read more...

Is tpa (alteplase) available to stroke patients in trinidad and how does it differ from aspirin?

Powerful Clot buster. Tpa (alteplase) is likely available in trinidad to help treat strokes (now sure, but likely at certain hospitals). It is a very powerful medication that helps to break up blood clots. It can be quite dangerous though, can cause serious bleeding and should only be used in certain life-treatening situations. Aspirin can also cause bleeding, but works differently from tpa (alteplase) in that it prevents clot from forming. Read more...